(816) 200-1533 612 SW 3rd St, Suite D, Lee's Summit, MO 64029
FOR ADDITIONAL DETAILS, SEE THE AAFP'S CLINICAL PREVENTIVE SERVICES RECOMMENDATIONS HERE
USPSTF = United States Preventative Services Task Force
AAFP = American Academy of Family Physicians
AAP= American Academy of Pediatrics
ACE = American College of Endocrinology
ASCVD = Atherosclerotic Cardiovascular Disease
JAMA = Journal of the American Medical Association
OGTT = Oral Glucose Tolerance Test
PREVENTION SCREENING RECOMMENDATIONS - MOST COMMONLY USED, IN ALPHABETICAL ORDER (SOURCES: AAFP, USPSTF, CDC)
ABDOMINAL AORTIC ANEURYSM
(ballooning of the main artery supplying the abdomen and legs)
- How is this accomplished? An ultrasound is used to measure the diameter of the artery
POSITIVE RESULT: 50% larger than expected for age and sex. Most commonly, below the kidneys at ≥ 3.0cm diameter.
- Who is this screening for? Men ages 65-75 who have ever smoked in their lifetime. This is a one-time screen (if normal, not repeated)
ALCOHOL USE DISORDER - Unhealthy use in Adolescents and Adults
- How is this accomplished? Screening surveys - such as this one, found HERE.
POSITIVE RESULT: Score of 8 or higher, however guidance is recommended based on specific questions/answers
- Who is this screening for? All persons, ages 11 and up
1)Female Breast, 2)Prostate, 3)Lung, 4)Colorectal, 5)Uterine, 6)Melanoma, 7)Urinary/Bladder, 8)Non-Hodgkin Lymphoma, 9)Kidney, 10)Leukemias
NATIONAL AVERAGE - NEW CANCER DIAGNOSES: 439 per 100,000
STATE WITH HIGHEST FREQUENCY OF NEW CANCER DIAGNOSES: KENTUCKY (504.9 per 100,000)
STATE WITH LOWEST FREQUENCY OF NEW CANCER DIAGNOSES: ARIZONA (358.7 per 100,000)
MISSOURI - 442.5 per 100,000
KANSAS - 452.2 per 100,000
1.Lung, 2.Female Breast, 3.Prostate, 4.Colorectal 5.Pancreatic, 6.Liver/Bile Duct, 7.Ovarian, 8.Leukemia, 9.Uterine, 10.Non-Hodgkin Lymphoma
NATIONAL AVERAGE - CANCER DEATHS: 144.1 per 100,000
STATE WITH HIGHEST FREQUENCY OF CANCER DEATHS: KENTUCKY (177.3 per 100,000)
STATE WITH LOWEST FREQUENCY OF CANCER DEATHS: UTAH (119.5 per 100,000)
MISSOURI - 157.9 per 100,000
KANSAS - 151.4 per 100,000
--> insufficient evidence to assess benefits vs harm in screening (basic urine test) for those without symptoms
-->WHY? MANY FALSE POSITIVE RESULTS, meaning unnecessary additional procedures/tests that may cause harm/excessive anxiety
--> Common Symptoms - blood in urine, or other sudden change or symptoms in the lower urinary tract
--> Large majority of prostate cancer is non-invasive and not related to death in most cases
- How is this accomplished? Fasting glucose, A1c level, and/or an oral glucose tolerance test (OGTT).
POSITIVE RESULT: Fasting blood sugar ≥ 126, A1c ≥ 6.5%, or 2-hour post-load glucose level ≥ 200
- Who is this screening for? The USPSTF and AAFP agree that:
1) Individuals aged 40-70 who are overweight (BMI >25) or obese (BMI ≥ 30) should be screened
2) Pregnant women at 24 weeks gestational age should be screened using an oral glucose test
- Other Notes:
--- Annual or "routine" labs include glucose & A1c, even at earlier ages.
--- There is disagreement on screening for diabetes in NON-pregnant individuals before the age of 40.
--- Virtue Medical DOES screen for diabetes with all routine/annual/physical labs.
Outside hours appts available (varies)
Fax: (816) 900-0083